Outcomes of Clinical Nursing Practice Guideline for Pain Management of Postoperative in Cesarean Section at Nongphai Hospital, Petchabun Province.

Abstract

This quasi-experimental research aimed to study the outcomes of clinical nursing practice guidelines for pain management of postoperative in Cesarean Section and patients’ satisfaction towards the care according to the clinical nursing practice guidelines. The sample consisted of postoperative patients who had elective Cesarean Section at Nongphai Hospital Petchabun province. They were randomly selected in the experimental and control groups by simple random sampling method with 30 patients in each group Data were collected between January 2024 to March 2024. The research instruments included a nursing handbook for patient care according to the clinical nursing practice guideline, demographic data questionnaire, pain score assessment, and satisfaction assessment. Data were collected every 2 hours until 48 hours after surgery. Data were analyzed by frequency, percentage, ¯(“X” ), standard deviation, and Independent t-test to compare the difference in satisfaction scores and average pain scores between the two groups at a significant level of 0.05. In conclusion, the result indicated that the average pain levels at 24 and 48 hours post-surgery differ significantly in statistical terms (P-value < 0.05). The experimental group experienced pain levels of 2.37 and 1.47, while the control group had pain levels of 7.53 and 6.57 respectively. The satisfaction of the experimental group was significantly higher than that of the control group in 2 following aspects. For the first aspect, the average satisfaction scores between the experimental and control groups for receiving pain management information were 3.91 and 3.13 respectively, and for the fourth aspect, cesarean section pain management, the scores were 4.91 for the experimental group and 3.35 for the control group. The knowledge scores on pain management of professional nurses increased from 12.10 to 15.96 after system development. Furthermore, the satisfaction of professional nurses with the clinical nursing practice guidelines for pain management of postoperative reached the highest level of satisfaction, scoring 95.40.